R Gonçalves-Dos Santos, A Aguilar-Rodríguez, V Fischer-de Carvalho, S Alves-Storque, H Dutra-de Souza, W L Pinto de Barros-Moreira
{"title":"Matrix-induced chondrogenesis in the treatment of patients with osteoarthritis of the first metatarsophalangeal: a systematic review.","authors":"R Gonçalves-Dos Santos, A Aguilar-Rodríguez, V Fischer-de Carvalho, S Alves-Storque, H Dutra-de Souza, W L Pinto de Barros-Moreira","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Osteoarthritis of the first metatarsophalangeal joint (MTP) is a common disease of the foot and is associated with decreased range of motion, especially dorsal flexion. It is the second most common pathological condition of the foot, generating pain and stiffness. Treatment for this type of osteoarthritis is still a challenge. Autologous matrix-induced chondrogenesis (AMIC) has emerged as an alternative for treating osteoarthritis while maintaining joint mobility, which has already shown good results in other regions. AMIC has good results in chondral degeneration stages I/II, but it is impossible to assign precise indication criteria for its use. Studies are needed to evaluate advanced stages of degeneration. Good functional and clinical stability have been observed in up to five years of follow-up evaluations. Associations such as cheilectomy and/or osteotomy enhance the results. Currently, there are several different techniques for approaching MTP osteoarthritis and AMIC could be an alternative, however, there is a need for studies evaluating long-term approaches, as well as their complications.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 3","pages":"164-168"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M A Soria-Bastida, C Hernández-Díaz, A Olascoaga-Gómez de León, R Coronado-Zarco
{"title":"Ergonomics to perform thoracic limb musculoskeletal ultrasound.","authors":"M A Soria-Bastida, C Hernández-Díaz, A Olascoaga-Gómez de León, R Coronado-Zarco","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ergonomics is the science that studies how to adapt the relationship between the human being with its environment. Performing musculoskeletal ultrasound applying appropriate ergonomic techniques both in the patient and by the sonographer, can reduce bodily injuries that are usually generated in repetitive work like this, causing a detriment to the quality of life. The objective of this pictorial is to depict some of the ergonomic characteristics necessary in this work environment by reviewing the literature related to the objective of this work. We conclude that carrying out ergonomic measures during the performance of a musculoskeletal ultrasound study reduces the risk of presenting fatigue and injuries to both the sonographer and the patient.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 2","pages":"93-98"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P V Cornejo-Albán, X A Ramos-Flores, C P Peñaherrera-Carrillo, F Endara-Urresta, P S Vaca-Pérez
{"title":"[Total hip arthroplasty revision surgery with migration of acetabular component to the subperitoneal space. Case report and literature review].","authors":"P V Cornejo-Albán, X A Ramos-Flores, C P Peñaherrera-Carrillo, F Endara-Urresta, P S Vaca-Pérez","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>revision surgery in total hip arthroplasty associated with wear and loosening of its components has become a routine procedure. Revision arthroplasty is widely exposed in the literature. However, cases presenting with loosening and intrapelvic migration of the acetabular component are less frequent.</p><p><strong>Clinical case: </strong>female, 82 years old, with no clinical history of importance, except for a total right hip arthroplasty cemented one month ago. The patient does not tolerate standing or sitting, and does not ambulate. MID: hip: presence of a healed wound of approximately 12 cm. Limited ranges of mobility not assessable due to pain. HHS 16 points and VAS 8/10, showing imaging studies showing intrapelvic medial migration of the acetabular component without lesion of the great vessels. Revision surgery was performed with removal of the acetabular and femoral components. Infection was ruled out using alpha-defensin. Subsequently, a bone allograft is placed in the acetabular defect, then metallic mesh over the allograft, and a tantalum wedge is placed to finally place an acetabular cup. Finally, a diaphyseal anchorage femoral stem was placed, a 28 mm femoral head with a double mobility system and reduction of prosthetic components with adequate stability with recovery of hip biomechanics.</p><p><strong>Conclusions: </strong>the different options exposed for treatment and the combination of techniques present advantages and disadvantages. Highly porous metal cups and augmentations showed satisfactory results to correct severe defects, as is the case described, with an improvement in HHS of 64 points and VAS of 8 points one year after surgery.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 2","pages":"108-116"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S Kohan-Fortuna-Figueira, M Latorre, P Dardanelli, C Halliburton, S Bosio, M Puigdevall
{"title":"Elbow osteomyelitis by Candida tropicalis in acute lymphoblastic leukemia. A case report.","authors":"S Kohan-Fortuna-Figueira, M Latorre, P Dardanelli, C Halliburton, S Bosio, M Puigdevall","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>musculoskeletal involvement of the extremities is common in pediatric patients with acute lymphoblastic leukemia. The insidious and oligosymptomatic presentation of several musculoskeletal conditions in these patients often leads to different diagnostic suspicions, which may delay appropriate management of the pathology. Non-albicans Candida osteoarticular infections are a rare entity that may affect immunodeficient patients. We describe a case of osteoarticular infection caused by an opportunistic fungus in a pediatric patient with acute lymphoblastic leukemia during the second week of rest post-consolidation block.</p><p><strong>Case presentation: </strong>we present a case of a 4-year-old girl diagnosed with B-cell acute lymphoblastic leukemia that developed an elbow infection by Candida tropicalis. Two surgical debridements of the elbow, combined with the administration of antifungals, were required to control the infection. She fully recovered at six months postoperatively and remains without osteoarticular sequelae at three years of follow up.</p><p><strong>Conclusion: </strong>C. tropicalis infection should be included in the differential diagnosis of osteoarticular complications in immunocompromised patients with acute lymphoblastic leukemia (ALL). Prompt diagnosis and treatment are essential to avoid osteoarticular sequelae.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 2","pages":"117-120"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B E Del Águila-Rodríguez, R E Vargas-Morales, L Nieto-Lucio
{"title":"[Effectiveness of simple plate and double plates in the treatment of the traumatic diastasis of pubic symphysis].","authors":"B E Del Águila-Rodríguez, R E Vargas-Morales, L Nieto-Lucio","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>traumatic diastasis of the pubic symphysis (PSD) is an uncommon but disabling injury, associated with implications on morbidity and mortality. Depending on the severity, the treatment can be conservative or surgical, this latter method can be single plate (SP) or double plate (DP) osteosynthesis, with sparse information and without consensus on which of these fixation techniques to use.</p><p><strong>Objective: </strong>to determine the functional outcome and post-surgical complications of SP and DP in the treatment of PSD.</p><p><strong>Material and methods: </strong>retrospective comparative observational study of a cohort of 40 patients with PSD, divided into two groups of 20 patients each, post-operated with SP (group 1) and DP (group 2) according to the Tile classification. For the functional outcome, we used the Majeed scale.</p><p><strong>Results: </strong>the median age is 38 years-old, with a predominance of males in 67.5%. According to each comorbidity, type of fracture, hospital stay, distance of pubic diastasis, operating vacuum and surgical time, there are no significant differences, p > 0.05. Traumatic brain injury (TBI) was present in 60 and 25% of patients with SP and DP, respectively, p < 0.05. There were no differences in functional outcome or post-surgical complications between the two groups, p > 0.05.</p><p><strong>Conclusions: </strong>fixation with SP and DP are equally effective, both in functional outcome and post-surgical complications in the treatment of PSD.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 2","pages":"71-75"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J J Martínez-Singüenza, A Páez-García, A M Sánchez-Naranjo, G A Cordero
{"title":"[Functional outcomes in postoperative total knee arthroplasty with patella denervation compared to no denervation].","authors":"J J Martínez-Singüenza, A Páez-García, A M Sánchez-Naranjo, G A Cordero","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>knee arthroplasty can generate complications, but a benefit in quality of life. The objective of this research was to determine the functional results in patients with total knee arthroplasty with denervation of prosthetic patella compared to no denervation.</p><p><strong>Material and methods: </strong>a prospective and longitudinal study was performed in patients who underwent total knee arthroplasty during March 2021 to September 2021, applying questionnaires with knee functional scales, such as KSS which evaluates knee functional outcomes. Data were analyzed using descriptive and inferential statistics with Mann Whitney U test.</p><p><strong>Results: </strong>a total of 119 postoperative total knee arthroplasty patients were stratified: group 1 (with prosthetic patella denervation with 57 members (48% of the total)) and group 2 (without patella denervation with 62 members (52% of the total)). Pain assessment with KSS scale was 41.6 points for group 1 and 41 points for group 2. The evaluation of range of motion with KSS scale was 19.7 ± 3.2 points for group 1, and 18.9 ± 3 points for group 2; use of stairs in group 1 with 35.5 ± 5.6 points and without group 2 with 35 ± 5 points, help in walking 5.8 points in group 1 and 5.7 for group 2.</p><p><strong>Conclusion: </strong>no significant differences were observed in the functional results in post-surgical total knee arthroplasty patients with denervation of the prosthetic patella compared to no denervation.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 2","pages":"65-70"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F M Camarillo-Juárez, M C García-Ruiz, H H Negrete-Arvizu
{"title":"[Functional evaluation in Weber B ankle fractures with and without transsyndesmotic fixation].","authors":"F M Camarillo-Juárez, M C García-Ruiz, H H Negrete-Arvizu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>the ankle is a modified hinge-shaped synovial joint. Multiple studies have been performed where no significant difference has been observed, as well as similar functional evaluation between patients with open reduction and internal fixation of the ankle with and without transsyndesmotic fixation of Weber B ankle fractures.</p><p><strong>Objective: </strong>to determine a comparison by means of functional evaluation based on the AOFAS scale in patients with and without transsyndesmal fixation.</p><p><strong>Material and methods: </strong>cross-sectional and retrospective study. Clinical-radiographic records of patients with a diagnosis of Weber B type ankle fractures who have undergone surgical procedures and are in the follow-up period in the Traumatology and Orthopedics Unit from January 1, 2022 to January 1, 2024 were included.</p><p><strong>Results: </strong>mean age was 40.1 ± 13.3 years. 47.9% (n = 46) of the files were female, and 52.1% (n = 50) were male. 47.9% (n = 46) of the patients underwent transindorsal fixation, while 52.1% (n = 50) did not undergo transindorsal fixation. The primary mechanism of injury was pronation with abduction 43.8% (n = 42) and supination with external rotation with 40.6% (n = 39). The AOFAS score was reported with 83.3% (n = 80) was excellent and the remaining 16.7% was good.</p><p><strong>Conclusion: </strong>patients with transsyndesmotic fixation in patients with Weber B ankle fractures have a better functional assessment by AOFAS scale compared to those without transsyndesmotic fixation.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 2","pages":"83-86"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R Gonçalves-Dos Santos, H Dutra-de Souza, N Alves, C Barbosa, A Aguilar-Rodríguez, J V de Campos Gomes-Rondon
{"title":"Type III acromioclavicular dislocation and persistence of pain in the surgical versus conservative approach: a systematic review.","authors":"R Gonçalves-Dos Santos, H Dutra-de Souza, N Alves, C Barbosa, A Aguilar-Rodríguez, J V de Campos Gomes-Rondon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Type III acromioclavicular dislocation is characterized by the complete rupture of the acromioclavicular and coracoclavicular ligaments. The approach to acute type III acromioclavicular dislocation is still dichotomous in the literature, since both the non-surgical and surgical approaches have similar clinical results. This study is a systematic review applying the PRISMA guidelines. The data sources used were PubMed/MEDLINE, Embase, Cochrane and Scopus. The search was carried out using the descriptors \"acromioclavicular dislocation\", \"type III\", \"treatment\" and \"conservative\". The methodological evaluation was carried out using the Newcastle-Ottawa scale. The scales used to assess pain were the Constant Score and the Visual Analog Scale (VAS). After analysis, 7 studies were reviewed, from which 299 patients were included, 148 undergoing conservative treatment and 151 undergoing surgical treatment. The average age of the patients was 41, with a predominance of males. The average follow-up time was 5.3 years for conservative treatment and 3.7 years for surgical treatment. With regard to the functional scales, the Constant Score (CS) was higher in the surgical approach and the visual analog scale was lower. The scores for the surgical modality were CS 90.2 and VAS 0.83, while the conservative modality was CS 87.9 and VAS 1.66. There seems to be no significant difference in the persistence of pain between conservative and surgical treatment. The choice of treatment still depends on the surgeon, and risk factors and complications should help in the decision.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 2","pages":"87-92"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J L Martínez-Peniche, R Romo-Rodríguez, P M Zamora-Muñoz
{"title":"[Radiographic measurements and secondary displacement in patients with open reduction and volar plate fixation of distal radius fractures].","authors":"J L Martínez-Peniche, R Romo-Rodríguez, P M Zamora-Muñoz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>distal radius fractures are an important cause of disability in adults. Fracture displacement and malunion are known and common complications of treatment. Open reduction and fracture fixation with volar plates and screws restore the normal alignment of the radius, but there are few reports in the literature regarding secondary displacement of the fracture fragments.</p><p><strong>Objective: </strong>detect secondary displacement in patient receiving distal radius open reduction and internal fixation with volar plates in the last five years at a private third level hospital.</p><p><strong>Material and methods: </strong>a total of 54 patients satisfied our inclusion criteria. Radiographic measurements were taken on standard anteroposterior (AP) and lateral films, preoperative, immediate postoperative and six weeks postoperative. We considered significant displacement as follows: More than 5° of volar tilt or radial inclination change, and more than 1 mm displacement in ulnar variance or radial height.</p><p><strong>Results: </strong>all patients presented some degree of postoperative displacement, only seven patients were affected with displacement above our defined threshold. One patient displaced over acceptable reduction parameters. Statistical analysis with ² test determined that female sex was the only significant risk factor for displacement in this study. Binary logistic regression analysis didn't find any significant risk factors.</p><p><strong>Conclusions: </strong>in these series, female sex was the only risk factor for postoperative displacement. This displacement probable is not clinically significant. Long term follow-up and increasing the number of patients can give more power to our evidence.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 2","pages":"76-81"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[What is happening with specialized medical information at the present time?]","authors":"G J García-Félix-Díaz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>No Abstract available.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 2","pages":"63-64"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}